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North Star Ranch Rehabilitation and Healthcare Center

709 W Fifth St

4.9(54 ratings)· Bonham average: 4.8

Part of Nexion Health · 56 communities · 4.6★ average

North Star Ranch Rehabilitation and Healthcare Center, photo 11 / 5

Quick Facts

Total units
65
Medicare rating
2 of 5

CMS Care Compare

Ownership
For profit, Corporation
Certified beds
65
Nursing coverage
Around-the-clock nursing care available on-site
Facility size
Small facility with close resident-staff relationships
Community outreach
Hosts free community health fairs with screenings

What Families Think

Reviewers consistently describe North Star Ranch as a small, close-knit skilled nursing facility where staff know residents personally and respond quickly to needs. Families frequently praise the caring nursing team, cleanliness, and activity programming, with several noting a smooth, low-stress admissions process.

The Good

  • Staff described as attentive, respectful, and personally engaged
  • Small facility fosters close resident-staff relationships
  • Quick, low-stress admissions process handled with case managers
  • Clean and safe environment noted by residents
  • Regular activities including music, puzzles, and reading
  • Staff checked on residents even during hospital stays

AI-generated from reviews and community data.

North Star Ranch Rehabilitation and Healthcare Center is a senior living community in Bonham, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.9 out of 5 across 54 reviews.

About North Star Ranch Rehabilitation and Healthcare Center

North Star Ranch Rehabilitation and Health Care Center is a nursing and rehabilitation facility in Bonham, Texas, providing skilled nursing care and specialized rehabilitation services for both short-term and long-term residents. The facility accepts admissions 24 hours a day, 7 days a week, with around-the-clock nursing care available.

The center treats a wide range of chronic and acute conditions for individuals recovering from planned medical interventions or unexpected medical complications who are not yet ready to return home safely. The nursing, therapy, and interdisciplinary care team members bring extensive clinical expertise to address residents' diverse medical needs while supporting long-term holistic care for those choosing the facility as their permanent residence.

Daily specialized rehabilitation services are a core component of the center's offerings, with a focus on building resident confidence and independence through adaptive equipment and therapeutic practice. The facility emphasizes safety in daily living activities while promoting functional recovery and greater independence at home.

North Star Ranch incorporates therapeutic activities and social engagement into its programming. Music activities are used to stimulate memory recall and foster social connection among residents, while other recreational offerings include reading, word search puzzles, and community participation. The facility also hosts community health fairs offering free health screenings and wellness resources in collaboration with local healthcare professionals.

Types of Care at North Star Ranch Rehabilitation and Healthcare Center

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)
  • Security

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Help Me Choose

Reviews of North Star Ranch Rehabilitation and Healthcare Center

4.9overall · 54 ratings combined

4.9★ on Google (54)

Joseph Lively

Apr 2026

via Google

If you need to live somewhere other than your own home, North Star Ranch is the place to go. I have been treated very well by the staff. All the staff is very good, but Wendy and Shay take exceptional care of me. I would definitely recommend North Star Ranch when you need a nursing home.

Joe Tomlinson

Apr 2026

via Google

North Star Ranch is a great place to live if you need this type of setting. Everyone is very friendly. They have caring staff members who are concerned with the residents' safety and well being. There are always lots of activities to do to keep you from being bored. I would definitely recommend this nursing home. As a matter of fact, my wife was also here a few years ago.

Lucinda Ball

Feb 2026

via Google

I have been a resident at Northstar Ranch and my experience has been positive. The staff are caring, attentive, and do their best to make residents feel comfortable and respected. Nursing and support staff are responsive when help is needed, and I appreciate the effort they put into maintaining a clean and safe environment. I enjoy the activities that are scheduled and the family culture that NorthStar has developed. The staff take time to get to know residents personally, not just as patients, but as people. There is a sense of respect and genuine care that makes this feel like a community. Residents and staff interact in a way that feels supportive which makes a real difference in day-to-day life here. When I went into the hospital staff members would come visit me and make sure I didn’t need anything. I enjoy Northstar.

John Cortes

Jan 2025

via Google

The staff members are extremely sweet and professional. This center really does go above my expectations. It's not often you find good centers anymore, and it's very reassuring to have one so close to home for my loved one in this time of need. Thanks North Star. You really are coming through for us. Keep up the good work 🙂❤️ much love to the staff and patients.

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Government Inspection History

9 inspection visits in the last three years, 73 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Mar 6, 2026Health Complaint1 citation
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 9, 2026

Feb 20, 2026Health Complaint1 citation
  • Provide enough food/fluids to maintain a resident's health.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 23, 2026

Dec 1, 2025Health Complaint5 citations
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 2, 2025

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 2, 2025

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 2, 2025

  • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 2, 2025

  • Provide or get specialized rehabilitative services as required for a resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 2, 2025

May 24, 2025Health Complaint2 citations
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 25, 2025

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 25, 2025

Apr 24, 2025Fire Safety StandardHealth Standard26 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity K of L: immediate jeopardy, patternCorrected Apr 25, 2025

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 25, 2025

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 25, 2025

  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2025

  • Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 24, 2025

  • Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 24, 2025

  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 24, 2025

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2025

  • Reasonably accommodate the needs and preferences of each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Have policies on smoking.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Ensure each resident receives an accurate assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Respond appropriately to all alleged violations.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Have properly installed electrical wiring and gas equipment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 24, 2025

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2025

  • Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Severity C of L: potential for minimal harm, widespreadDeficient, Provider has no plan of correction

  • Post nurse staffing information every day.

    Severity C of L: potential for minimal harm, widespreadCorrected Apr 25, 2025

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadDeficient, Provider has no plan of correction

Feb 27, 2025Health Complaint2 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Feb 28, 2025

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 28, 2025

Mar 6, 2024Fire Safety StandardHealth ComplaintHealth Standard15 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 28, 2024

  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2024

  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2024

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2024

  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2024

  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2024

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2024

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2024

  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2024

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 28, 2024

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2024

  • Provide properly protected cooking facilities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2024

  • Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2024

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadWaiver has been granted

  • Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Severity C of L: potential for minimal harm, widespreadWaiver has been granted

Jan 12, 2024Health Complaint3 citations
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 13, 2024

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 13, 2024

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jan 13, 2024

Dec 1, 2022Fire Safety StandardHealth Standard18 citations
  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 23, 2022

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 23, 2022

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 23, 2022

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 23, 2022

  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 23, 2022

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 23, 2022

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 23, 2022

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2022

  • Assure that each resident’s assessment is updated at least once every 3 months.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2022

  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2022

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2022

  • Ensure each resident receives an accurate assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2022

  • Keep residents' personal and medical records private and confidential.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2022

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2022

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2022

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2022

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadCorrected Jan 6, 2023

  • Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Severity C of L: potential for minimal harm, widespreadCorrected Jan 6, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does North Star Ranch Rehabilitation and Healthcare Center offer?

North Star Ranch Rehabilitation and Healthcare Center offers Skilled Nursing / Long Term Care.

Where is North Star Ranch Rehabilitation and Healthcare Center located?

North Star Ranch Rehabilitation and Healthcare Center is located at 709 W Fifth St in Bonham, Texas.

What do families say about North Star Ranch Rehabilitation and Healthcare Center?

Reviewers consistently describe North Star Ranch as a small, close-knit skilled nursing facility where staff know residents personally and respond quickly to needs. Families frequently praise the caring nursing team, cleanliness, and activity programming, with several noting a smooth, low-stress admissions process.

How did North Star Ranch Rehabilitation and Healthcare Center do on recent health and safety inspections?

North Star Ranch Rehabilitation and Healthcare Center had 9 government inspection visits in the last three years, with 73 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit North Star Ranch Rehabilitation and Healthcare Center?

Submit the Request Information form on this page to connect with North Star Ranch Rehabilitation and Healthcare Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at North Star Ranch Rehabilitation and Healthcare Center? Claim this listing to update photos, pricing, and details. It's free.

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